Summary: UNIVERSITY OF CALIFORNIA GRADUATE DIVISION ­ SANTA BARBARA
APPLICATION FOR INTERCAMPUS EXCHANGE PROGRAM FOR GRADUATE STUDENTS
The Intercampus Exchange privilege is given to the graduate student who seeks the opportunity for contact with scholars, fields of
study, and facilities not available on her/his home campus. Unless specifically arranged through correspondence with the host
department, the Inter-campus Exchange student is accommodated on the host campus on the same basis as graduate students
from outside the major department.
Instructions: This form should be completed and filed at least SIX WEEKS prior to the beginning of the school term you wish to attend.
Please fill out the form completely, obtain the signature of the graduate adviser for your program, and file the form with Graduate
Division at UCSB. You should register and pay fees at your home campus in accordance with the regular registration schedule.
Students should note that there are possible late penalty fees for late enrollment on each campus.
If you do not enroll in the Intercampus Exchange Program, please notify the Graduate Studies offices on both campuses concerned, so
that your application may be cancelled. Separate applications are required each quarter.
LAST NAME FIRST NAME
VISA*
STATUS
BIRTHDATE
MM/DD/YY
STUDENT ID
PERM #
*International non-resident students only